The assessment a nurse performed on a 12-year-old boy demonstrated a positive Kernig's sign and a Brudzinski's sign. Identify the priority for the nurse's next action
1. Document the findings and note as normal.
2. Further assess the neurological function of the child and call the doctor with a report.
3. Explain to the patient that the assessment was abnormal and there is no a cause for concern.
4. Prepare the child for a lumbar puncture.
2
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1. These findings are abnormal and need further neurological testing.
2. Further assessment is needed because these signs should not be present in a 12-year-old child.
3. Explaining the situation to the patient is important, but there is s possible neurological issue that needs to be addressed with further diagnostic testing.
4. A lumbar puncture is invasive, and other tests should be done before the procedure.
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